BEIJING, CHINA

STANDARDISING AND SIMPLIFYING THE DIABETES TREATMENT PROCESS

The city of Beijing launched a diabetes intervention programme in 2014. A key focus of the city’s programme has been to promote diabetes guidelines in community health centres (CHCs) to standardise diabetes management. Once it joined Cities Changing Diabetes in 2017, the municipality of Beijing decided to expand the existing programme to:

• Formulate and popularise practical diagnosis and treatment standards for diabetes • Train staff in practising in CHCs in the diagnosis, treatment and management of diabetes • Improve the standard levels of blood glucose, blood pressure and blood lipids of people with diabetes.

18.3%

OF ADULTS IN BEIJING ARE LIVING WITH OBESITY62

ROLL-OUT OF ‘THE OUTLINE’

Since 2014, Beijing has issued 10,000 copies of a document called the Outline of Diagnosis and Treatment of Diabetes in Beijing Communities. This one-page document, also referred to as the Outline, is a condensed version of the China Guidelines of Diabetes Diagnosis and Treatment. It has been issued with a training module supporting community doctors in implementing the guidelines in practice. This tool and the training provided have simplified the community diabetes treatment process and are helping to improve the quality of care delivered in the various centres by standardising the process.

INTERVENTION CONTROL STUDY SHOWS RESULTS

Through the Cities Changing Diabetes programme, a three-year study is being conducted in the districts of Dongcheng and Tongzhou to assess the effectiveness of the Outline. About 15,000 people with similar economic and medical insurance backgrounds have been selected by CHCs in the two districts for a comparative study – before and after the programme. The results of a sample survey of 30 CHCs showed that the training had significantly improved community doctors’ ability to implement diagnosis and treatment guidelines.

In addition to the intervention control study, the Cities Changing Diabetes working group is organising education and training programmes to strengthen diabetes management among community doctors. As a result, the compliance rate for blood glucose, blood lipids, blood pressure and other outcome indicators of diabetes in the pilot area could increase by more than 50% compared with the baseline.

Beijing Municipal Health Commission

Beijing Diabetes Research Centre

Beijing Tongren Hospital (CMU)

Four community health centres in the districts of Dongcheng and Tongzhou

“The health behaviours of Beijing residents are changing gradually. We'll exchange and cooperate through innovative international projects like Cities Changing Diabetes, and explore and build the 'Beijing model' to effectively improve the management level and efficiency of diabetes prevention and treatment.”

Liu, deputy counsel of Beijing Municipal Health Commission

IN BEJING 20%

OF CHILDREN AND ADOLESCENTS BETWEEN THE AGES OF TWO AND 18 ARE OVERWEIGHT OR LIVING WITH OBESITY63